DOCK-16-1967 (2) v
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Miami Shores Village 3-ttl�,i ' ECIC
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10050 N.E.2nd Avenue NE I+ t3t1 E:19�CeF100 3
Miami Shores,FL 33138-0000 , l@�5t�ft45AP
FIRME v
Phone: (305)795-2204
Iss�i�bats*71 12016 Expiration: 01/1612017
Project Address Parcel Number Applicant
1391 NE 102 Street 1132050230180
BAY CONSTRUCTION&DEVELt
Miami Shores, FL 33138-2819 Block: Lot:
Owner Information Address Phone Cell
BAY CONSTRUCTION& 201 S BISCAYNE Boulevard (305)898-7882
-- - ----- - - MIAMI FL 33131-
201 S BISCAYNE Boulevard
MIAMI FL 33131-
Contractor(s) Phone Cell Phone Valuation: $ 1,800.00
GAMMA CONSTRUCTION LLC (786)252-6374
.._. . Total Sq Feet: 50
Type of Dock:REPLACE DECKS AT DOCK ONLY Available Inspections:
Additional Info: Inspection Type:
Bond Return: Final
Classification:Residential
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
DBPR Fee $2.00 Invoice# DOCK-7-16-60597
DCA Fee $2.00 07/14/2016 Credit Card $50.00 $71.20
Education Surcharge $0.40 07/20/2016 Credit Card $71.20 $0.00
Notary Fee $5.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $121.20
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compli nce with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the prop r authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I cti hat all ing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zonin ize te-named contractor to do the work stated.
July 20, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 20,2016 1
Miami Shores Village ��r~ ► I
Building Department ' JUS 14
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 _
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201q 5411
BUILDING Master Permit No. (_7
PERMIT APPLICATION Sub Permit No.
..BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ' � - 10_zS't'
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: "C,onstruction Type: Flood Zone: BFE: FFE:
�p� ®
OWNER: Name(Fee Simple Titleholder) CZ WL p&' j *DUIE 6PMfAX L-V- Phone#:- Z5 Z(O
Address:20� "&P #2-162-5
City: M 9 4$1-t( State: fit- Zip:
Tenant/Lessse�e�Name: �� Phone#:
Email:
CONTRACTOR:Company Name: q'1n-1 A4'A' c&o, m" LLC Phone#: -4j7_5-2075q-Lf
y �
Address: 13 Is
City: �^1�°^"I -State: L Zip:
Qualifier Name: Phone#:--'"+2- c® -1
State Certification or Registration#: 115 2_4S7(o Certificate of Competency#: 5(0I -4<yo51(0 '
DESIGNER:Architect/Engineer: hof' bk6(�y k_) Phone#: �c�
Address: Z2-G7,0 13(1 4:1,iJ �4i Cit7�IA ��'r� State:;: _ Zip: ✓-?74 Z6
Value of Work for this Permit:$ 1600 Square/Linear Footage of Work: _50
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: Q-;t�'L4tA_: M_u
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS, HEATERS,TANKS,AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signa 1
OWNER or AGENT CONTRAC
The foregoing ins rument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of �UL- 20 , by �_day of T u 20 by
i, ho is personally known to � ' J�'1 ,who is ersona nown to
me or who has produced -D414N as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
ti\r 1S 311S�d/qui4
Sign: e° rN�ebN••6b�o� Sign: e !9�!
Print: x. ; .� � = Print: UW
Seal: Seal: _ •w z
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s�H�'�• o sofot'
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
MI
r■A & A DESIGN GROUP, INC. Phone: 561-706-5161
CO',SLTLT\'G E\-GI\-EERS Email: aadesigngroupl0@yahoo.com
22636 Blue Fin Trail,Boca Raton,FL 33428
July 12, 2016
Building Official JUL 1 2016
City of Miami Shores
Building Department
BY.
Re: 1391 N.E. 102 Street,Miami Shores,FL 33138
Dear Building Official:
Please be advised we have inspected the wood dock connection and structural members.
We find wood dock do not need repair and all work to be in accordance with the specifications
and general design intent.
Please accept this letter as our special inspector certification for this inspection.
If you should have any further questions please feel free to contact us at the above number.
Sincerely,
A&A DESIGN GROUP, INC.
Consulting Engineers
Certificate of Authorization#29225
�L—
. . .... ......
Reza J didan PE . .
Florida Professional Engineer#60223 ...... •
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